Civil Surgeon Worksheet. Web the citizens surgeon is responsible for the entire examination, including chest radiographs, when required, and necessary our procedures. Web civil surgeon worksheet and part 10.
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Class a conditions (see civil surgeon. Web civil surgeon worksheet. The civil surgeon is also responsible to.
Web Civil Surgeon Worksheet (Continued) B.
Web civil surgeon worksheet (continued) b. Street number and name current physical address other. Web the civil surgeon fills out the worksheet in part 8 as they do the medical examination.
The Civil Surgeon Worksheet Section Relates To Specific Health Conditions Enumerated In 212(A)(1) Ina § Which Are A Part Of The Medical.
Form of applicant id presented (e.g., passport, driver's license) id number. Web civil surgeon's information family name (last name) given name (first name) middle name name of medical practice, facility, or health department physical address 3. Street number and name current physical.
Web Civil Surgeon Worksheet.
Syphilis (1) serologic test for syphilis (required for applicants 15 years of age and older) (a) name of screening test. You have to get the form signed by a. Web these technical instructions for civil surgeons include instructions on the various required component of the medical examination and answers to common.
Web The Citizens Surgeon Is Responsible For The Entire Examination, Including Chest Radiographs, When Required, And Necessary Our Procedures.
Web these are the technical instructions for medical examination of aliens used by the civil surgeons in the medical examinations conducted in the united states. Class a conditions (see civil surgeon. You must fill out this worksheet and provide the results of each component of the medical examination.
Web To Be Completed By Civil Surgeon:
They will check and provide information about infectious diseases that. You must fill out this worksheet and provide the results of each component of the medical exam relating to: Syphilis (1) serologic test for syphilis (required for applicants 15 years of age and older) (a) name of screening test (b) date screening.
